You may request an appointment in one of two ways:
Call our appointment line at 317-802-2000 OR
Complete the appointment request form below and hit the "Request Appointment" button when you're finished.
An appointment specialist will contact you via e-mail and/or phone within 1 business day.
Please note: you many request a physician of your choice or you can request we assist you by matching your condition with the physician that most closely meets your stated needs.
* Are you currently an OrthoIndy Patient?
Yes
No
If no, would you like to:
Request a specific physician?
Location where you would prefer your appointment:
Preferred time of day:
Contact Information
* Salutation:
* Name:
* Address:
* Phone:
* Email Address:
* Best time to call:
Misc Information
How did you learn about OrthoIndy?
Past Patient
Friend/Relative Referred Me
Benefits Handbook
Work Comp
Yellow Pages
OrthoIndy Marketing Materials
Physician's Office Referred Me
* Please list physician so we can send a thank you.
Other
* Please explain "other".
Mailing List
We occasionally distribute health and event information that you may find interesting.
